Provider Demographics
NPI:1366852691
Name:JOSEPH REED DMD & ASSOC LLC
Entity type:Organization
Organization Name:JOSEPH REED DMD & ASSOC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:R
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:817-303-5700
Mailing Address - Street 1:821 N FIELDER RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-4657
Mailing Address - Country:US
Mailing Address - Phone:817-303-5700
Mailing Address - Fax:817-548-7099
Practice Address - Street 1:821 N FIELDER RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-4657
Practice Address - Country:US
Practice Address - Phone:817-303-5700
Practice Address - Fax:817-548-7099
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOSEPH R REED DMD LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-05-08
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28667122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty